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Electrical Permit - Permit# 23SP-00081 - 3828 Northern Avenue - 8/15/2023City of Spring Park I Electrical Permit 4349 Warren Ave, Spring Park, MN 55384 PRING §%RK 23SP-00081 rAgo fm:,,re..n6. Phone:(952) 471-9051 Fax: (952) 471-9160 For Inspections: (952) 442-7520 Date Issued: 08/15/2023 Property Owner: AK Enterprise Expiration Date: 02/11/2024 Mailing Address: 3828 Northern Job Site Addrws: 3828 Northern, Spring Park, MN 55384 Category: Other Spring Park, MN 55384 Pennit Type: Electrical Permit Phone: Valuation: Email: Description of Work: Install 200 amp service Subdivision: Required Setbacks: Parcel ID: Filing: Lot: Actual Setbacks: Block: Total Sq Ft: Contractors: Fee Items Amount State Surcharge (Fixed) $1.00 Electrical WWOP $ 125.00 Total Fees: $126.00 NOTICE Signature of Applicant/Date Building Department Signature/Date 08/15/2023 MUST BE POSTED ON JOB SITE www* INSPECTION CARD City of Spring Park SPRING PARK On Lake5winnetonko 4349 Warren Ave, Spring Park, RAN 55384 POST TKIS CARD IN A SAFE CONSPICUOUS LOCATION. PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALL REQUIRED INSPECTIONS ARE MADE AND SIGNED OFF BY THE APPROPRIATE AU 14ORI YAND THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSrrE. APPLICATION NO.: 23SP-00081 TYPE: Electrical Permit PROJECT ADDRESS: 3828 Northern, Spring Park, MN 55384 OWNER: AK Enterprise CONTRACTOR: DESCRIPTION OF WORK: Install 200 amp service CONSTRUCTION TYPE: OCCUPANT LOAD: ISSUED DATE: 08115/2023 EXPIRATION DATE: 02/11/2024 PARCEL NO.: CONTRACTOR PHONE: DATE DATE INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS Electrical Rough -In Electrical Final Fire Approval: PW Approval: To request an Inspection: (952) 442-7520 Date: Engineering Approval: Date: Other ( Date: Date: Page 1 of 1 CITY OF SPRING PARK ELECTRICAL PERMIT OFFICE USE ONLY Electric Permit # Date Issued:g a3 Receipt# PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES Quantity DESCRIPTION OF WORK FEES Sub/Total L MINIMUM FEE PER INSPECTION TRIP Includes up to 4 circuits if more than 4 see Sec. D below $ 40.00 per Additional Inspection trips for ReinspectionlBondinglEquipotential Plane/etc.- $ 40.00 per 3. RESIDENTIAL One and Two-family dwelling units Up to 3 trips Included in fee 1. New Dwelling Unit, up to and including a 200 amp service $ 125.00 per un 2. New Dwelling Unit, 201 amp to 400 amp service $ 175.00 per un 3. Existing Dwelling Unit, additions, alterations, or repairs up to & including a 200 amp service, fees as per C & D below but not to exceed $ 125.00 per un 4. Existing Dwelling Unit, additions, alterations, or repairs 201 amp to 400 amp service fees as per C & D below but not to exceed $ 175.00 per un 5. New or Existing Dwelling Unit, 401 amp service or above See C & D beloi :. FEES FOR NEW OR UPGRADED SERVICES, TEMP. SERVICES, GENERATORS, 1. Up to and including a 200 amp service $ 50.00 each 2. 201 amp to and including 400 amp service $ 100.00 each 3. 401 amp to and including 800 amp service $ 200.00 each 4. 801 am kservice and above $ 300.00 each 1. FEES FOR CIRCUITS/FEEDERS & TRANSFORMERS 0 to 200 am $ 10.00 per circuit Above 200 amp $ 15.00 per circuit Transformers up to 10 KVA $ 20.00 each Transformers over 10 KVA $ 30.00 each :. MULTI -FAMILY DWELLINGS _ Each dwelling unit __ $ 50.00 per unit ALARM, COMMUNICATION, SIG NALING_CIRCUITS, OF LESS THAN 50 VOLTS Each System Device or Apparatus @ $ .50 each 125 [EDWITHOUT PERPil1TJS j2jF.i QU tEDPVWIT E _ State Surcharge .0005 of the permit fee (minimum of $1.00) 1.00 TOTAL AMOUNT DUE $ 1 not forget State Surcharge Fee) You must ca11952-442-7520 when work is ready for inspection! Describe Proposed Work: Separate Permits are required for any building, mechanical, fire, or plumbing work. PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES Job Site: Street Address: 3828 Northern Ave OR Legal Description: Lot: Property ID (PIN No): Spring Park, MN Zip: 55384 Block: Subdivision: Applicant is: Contractor: [A Or Owner: ❑ Contractor/Company Name: Acts Electric LLC License #• EA685038 Address: 605 Harriet ave # 402 City/State: Shoreview, MN Zip: 55126 Telephone: Office/Home: Mobile: (612 } 3Q8 - 5302 E-mail: actselectricllc@gmaii.com Fax: Builder/Owner Name: Anan Address (if diff. from Site): City/State: Zip: Telephone: Office/Home: _ 651 815 5683 eP U Mobile: (_� - E-mail: Fax: I HEREBY APPLY FOR AN ELECTRICAL PERMIT, AND I ACKNOWLEDGE THAT THE INFORMATION ABOVE Is COMPLETE AND ACCURATE, I UNDERSTAND WORK IS NOT TO START WITHOUT A PERMIT. I UNDERSTAND AND HEREBY AGREE THAT THE WORK FOR WHICH THE PERMIT IS ISSUED SHALL BE PERFORMED ACCORDING TO THE FOLLOWING: (1) THE CONDITIONS OF THE PERMIT, (2) THE APPROVED PLANS AND SPECIFICATIONS, IF NEEDED (3) THE APPLICABLE CITY APPROVALS, ORDINANCES, AND CODES, AND (4) THE STATE BUILDING/ELECTRICAL CODE. I UNDERSTAND THAT THE PERMIT WILL EXPIRE, AND BECOME NULL AND VOID IF WORK IS NOT COMPLETED WITHIN 12 MONTHS OF VALIDATED DATE AND HAT I AM RE5 NSIBLE FOR ENSURING THAT ALL REQUIRED INSPECTIONS A UESTED IN ORMANCE W T STATE BUILD G/ELECTRICAL CODE. Signature: Date: 08/14/2023 ❑ Check attached — Check # MAKE CHECKS PAYABLE to MNSPECT EMAIL: electrical@mnspect.com FAX: 952442-7521 MAIL/DELIVER: MNSPECT, 235 West First Street Waconia, MN 55387 ❑ Visa/Master Cart' r n��._• _-�•--�-_ Expiration Date CSV Amount to be withdrawn Shoreview MN SIN 19R City, State Zip Code ame on credit card (REQUIRED) Payment Confirmation Payer information: Payment Made By: Payment Made For: Email: Permit Address: Address: Payment Description: Payment Date: MARK MUNDAN ACTS ELECTRIC actselectricllc@gmall.com 3828 NORTHERN AVE SPRINGPARK 605 PERIOT AVE SHOWVIEW, MN 55126 Permits 8/15/2023 3:20:13 PM Business Name Payment Payment Confirmation Amount Convenience Total Method Account Number Fee City of Spring Park VISA ****6473 37613584 $126.00 $3.72 $129.72 (Permits) This notice confirms that the above payment was successfully submitted to our payment processor, PSN, and is currently being processed. Thank you for using PSN. 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RECEIPT City of Spring Park 4349 Warren Ave, Spring Park, MN 55384 (952) 471-9051 23SP-00081 j Electrical Permit Payment Amount: $126.00 Transaction Method Payer Credit Card Acts Electric Comments � iw`�N�:G PARK On Lake Winnetonku Receipt Number: 231 Cashier Reference Number Jamie Hoffman 37613584 August 15, 2023 Assessed Fee Items Fee items being paid by this payment Date Fee Item Acwunt Code Assessed Amount Paid Balance Due 08/14/23 State Surcharge (Fixed) $1.00 $1.00 $0.00 08/14/23 Electrical WWOP $125.00 $125.00 $0.00 TOM&. $126.00 $126.00 Applicatlon Info Property Address Property Owner 3828 Northern AK Enterprise Spring Park, MN 55384 Description of Work Install 200 amp service Previous Payments $0.00 Remaining Balance Due $0.00 Property Owner Address Valuation 3828 Northern Spring Park, MN 55384